Newport Hospital was among several hospitals in Rhode Island that achieved an A rating from the hospital watchdog group Leapfrog in its fall ratings. Three hospitals – Roger Williams Medical Center, Kent, and South County were awarded C or below, a pattern of declining ratings over the last few years.

Additionally, Women and Infants Hospital declined to participate in Leapfrog’s survey, according to Leapfrog. The group surveys more than 2,000 hospitals nationwide twice a year.

Both Fatima and Roger Williams are owned by California-based Prospect Medical Holdings, which filed for bankruptcy several months ago. There have been efforts to sell the hospitals while maintaining both of them open.

Women and Infants is part of the Care New England Group, which also includes Kent Hospital, whose safety rating has steadily declined over the last few years.

Leapfrog, which conducted the survey, is a well-respected hospital watchdog group that describes itself as “the nation’s gold standard in evaluating hospital performance on national measures of safety, quality, and efficiency in both inpatient and outpatient areas.”

Hospital safety is critical, with surveys suggesting that as many as 440,000 patients die annually because of hospital safety errors. Studies suggest that preventable medical errors are the third leading cause of death in America.

Leapfrog assigns rankings, A to F, based on issues involving infections, surgical problems, safety concerns, and practices to prevent errors. Within each of these areas are also several measures.

Earning A ratings for the fall of 2025 were Newport, Miriam, Rhode Island, and Westerly Hospitals. Newport, Miria,m and Rhode Island are part of Brown University Health (formerly Lifespan), while Westerly is part of the Yale/New Haven group. Landmark Hospital in Woonsocket received a B rating; Kent, Fatima and South received C ratings; and Roger Williams Medical Center received a D rating.

Several trends were also evident. Newport and Miriam Hospitals have been trending up, scoring B in the spring and fall of 2022, but in 2023 reaching an A rating, and remaining there. Rhode Island fell to a C in the fall of 2023, rising to B in both surveys in 2024, and in the two reports in 2025 have achieved an A rating. 

Landmark has been consistently A-rated since 2022, with the only exception being a B in one of the reports in 2024. Westerly has been rising, from a C in the spring of 2022 to an A in 2025. Fatima has been C-rated with only one exception, a B in the fall of 2022. Roger Williams also consistently received a C until this fall, when its ranking dropped to D.

South County had ranged between A and B, falling to C this fall. 

For those hospitals that trended lower, a significant problem appears to be effective leadership to help prevent errors. “Effective leadership to prevent errors: Errors are much more common if hospital leaders don’t make patient safety a priority. Leaders must make sure that all hospital staff know what they need to work on and that they are held accountable for improvements.”

South County, which is Rhode Island’s only independent hospital, experienced a disruption among physicians several months ago, in a rift with the administration that apparently has yet to heal. 

Leadership, or lack of leadership, was also noted for other hospitals not performing well. 

Meanwhile, other issues remain: healthcare – the lack of primary care physicians (nationwide); the study to determine whether to build a second medical school at the University of Rhode Island; and the threatened closure of Roger Williams and Fatima Hospitals.